| Corryton Medical Center P.c. | |
|
6310 Roberts Rd Corryton TN 37721-3627 | |
| (865) 688-8815 | |
| (865) 688-8831 |
| Full Name | Corryton Medical Center P.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | 6310 Roberts Rd, Corryton, Tennessee |
| Authorized Official Name and Position | Kalpesh D. Parikh (PHYSICIAN/PRESIDENT) |
| Authorized Official Contact | 8656888815 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Corryton Medical Center P.c. 6310 Roberts Rd Corryton TN 37721-3627 Ph: (865) 688-8815 | Corryton Medical Center P.c. 6310 Roberts Rd Corryton TN 37721-3627 Ph: (865) 688-8815 |
| NPI Number | 1588851190 |
|---|---|
| Provider Enumeration Date | 09/27/2007 |
| Last Update Date | 01/10/2008 |
| Medicare PECOS PAC ID | 3779670401 |
|---|---|
| Medicare Enrollment ID | O20071029000091 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588851190 | NPI | - | NPPES |
| 3702628 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 020291 (Tennessee) | Primary |
| Provider Name | Kalpesh D Parikh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255339081 PECOS PAC ID: 7214024942 Enrollment ID: I20100810000709 |
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